Organization
COMMUNITY ACTION COMMITTEE OF PIKE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY ROBERTS (EXECUTIVE DIRECTOR)
(740) 289-2371
Entity
Organization
Contact information
Practice address
14590 ST RT 93, FAMILY HEALTH CENTER JACKSON, JACKSON, OH 45640
(740) 286-2826
Mailing address
941 MARKET ST, PIKETON, OH 45661-9757
(740) 289-2371
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2864682
—
OH
Enumeration date
05/16/2008
Last updated
09/08/2010
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